Individual
KELLY MILLER BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(205) 822-0404
Mailing address
668 FOREST LAKES DR, STERRETT, AL 35147-8136
(205) 447-8322
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
1-095128
AL
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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